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A Case for Diagnosis (Lupus Erythematosus Disseminatus?). Presented by Dr. Eugene Traub.
A boy, aged 19, first came under observation a year prior to presentation. He had been working for about a year as a printer, handling type, benzine and alcohol. To clean his hands he had used grease solvent, and he noticed that his hands became red. Six months before being seen by the presenter, the patient had noticed black spots on his palms; these were hard to the touch and occasionally itchy. He would attempt to dig at them with a knife or with the edge of a razor blade from time to time. Three months later he first noticed redness and scaliness on the back of the knuckles and the interphalangeal joints of both hands and on both elbows. There was slight redness of the face beneath both eyes; this had been present for the six months